Hewicker M, Garcés L H, Kromschröder E, Trautwein G
Abteilung für Immunpathologie, Tierärztliche Hochschule Hannover.
Z Rheumatol. 1988 Jul-Aug;47(4):219-26.
In a sequential study the pathogenesis of chronic polyarthritis occurring spontaneously in MRL mice was analysed by light microscopy. A total of 128 MRL mice of both substrains (MRL/Mp-lpr/lpr and +/+) and different age groups was studied. In 50 lpr/lpr mice, tinctorial and histochemical methods were applied for the identification of fibrin/fibrinoid, iron compounds, amyloid, and proteoglycan. The earliest lesions seen in mice of substrain lpr/lpr at the age of 2 months were proliferation of synovial lining cells and loss of tinctorially demonstrable proteoglycan in the articular cartilage. Beginning at 3 months, severe joint destruction associated with pannus formation was encountered usually in knee, carpal and tarsal joints. Besides inflammatory processes in tendons, nerves and musculature fibrinoid-necrotising panarteritis occurred in the intra- and extraarticular tissue. Furthermore, fibrin-containing exudations and deposits of fibrinoid material, occurred in the synovium of large joints and in the periarticular connective tissue of phalangeal joints. The occurrence of these morphological changes, destructive arthritis, vasculitis and periarticular inflammatory changes, was, at the age of 3 months, associated with a highly significant increase of circulating immune complexes. In mice of substrain +/+ aged 1 year and older, arthritic changes with synovial lining cell proliferation, cartilage destruction and inflammatory periarticular lesions developed.
在一项序贯研究中,通过光学显微镜分析了MRL小鼠自发发生的慢性多关节炎的发病机制。共研究了两个亚系(MRL/Mp-lpr/lpr和+/+)不同年龄组的128只MRL小鼠。对50只lpr/lpr小鼠应用了染色和组织化学方法来鉴定纤维蛋白/纤维蛋白样物质、铁化合物、淀粉样蛋白和蛋白聚糖。在2月龄的lpr/lpr亚系小鼠中最早观察到的病变是滑膜衬里细胞增殖和关节软骨中可染色显示的蛋白聚糖丢失。从3个月开始,通常在膝关节、腕关节和跗关节出现与血管翳形成相关的严重关节破坏。除了肌腱、神经和肌肉组织中的炎症过程外,关节内和关节外组织还出现了纤维蛋白样坏死性全动脉炎。此外,在大关节的滑膜和指关节的关节周围结缔组织中出现了含纤维蛋白的渗出物和纤维蛋白样物质沉积。在3个月大时,这些形态学变化、破坏性关节炎、血管炎和关节周围炎症变化的出现与循环免疫复合物的高度显著增加有关。在1岁及以上的+/+亚系小鼠中,出现了伴有滑膜衬里细胞增殖、软骨破坏和关节周围炎症性病变的关节炎变化。